| NPI | 1487969515 |
|---|---|
| Former Name | MARY R KEITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2012-09-20 |